Active NPI
Sathit B. Dulkanchainun, M.D., Inc.
Doing business as T.S. Dulkanchainun, M.D.
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1912216276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A62004
- Legal business name
- SATHIT B. DULKANCHAINUN, M.D., INC.
- Doing business as
- T.S. Dulkanchainun, M.D.
- Practice address
- 1245 Wilshire Blvd
Suite 408
Los Angeles, CA 90017-4810 - Phone
- (213) 787-6412
- Fax
- (213) 417-4641
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sathit B. Dulkanchainun, M.D.
- Title
- Ceo
- Phone
- (213) 379-0664
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | A62004 | CA | |
| Surgery Physician | 208600000X | A62004 | CA | Primary |
| Surgical Critical Care Physician | 2086S0102X | A62004 | CA | |
| General Practice Physician | 208D00000X | A62004 | CA | |
| Hospitalist Physician | 208M00000X | A62004 | CA |
Addresses
Primary practice location
1245 Wilshire Blvd
Suite 408
Los Angeles, CA 90017-4810
Mailing address
11005 Mountair Ave
Tujunga, CA 91042-1215
Phone (213) 379-0664
Other names 1
- T.S. Dulkanchainun, M.D.
National Provider Directory
National Provider DirectoryLocations
1245 Wilshire Blvd
Ste 408
Los Angeles, CA 90017
Phone (213) 482-2910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286150400000",
"number": "1912216276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11005 MOUNTAIR AVE",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910421215",
"telephone_number": "213-379-0664",
"fax_number": "213-417-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "SUITE 408",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-787-6412",
"fax_number": "213-417-4641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATHIT B. DULKANCHAINUN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A",
"authorized_official_last_name": "DULKANCHAINUN",
"authorized_official_first_name": "SATHIT",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-379-0664",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Transplant Surgery",
"state": "CA",
"license": "A62004",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A62004",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A62004",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A62004",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "CA",
"license": "A62004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "T.S. Dulkanchainun, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.